Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.81 / $254.64 / $254.64	Facility		$121.81	$254.64	$254.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $87.46 / $121.81	Professional		$66.65	$87.46	$121.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $141.38 / $314.11	Professional		$108.03	$141.38	$314.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $225.28 / $307.89	Facility		$167.20	$225.28	$307.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $176.69 / $267.83	Professional		$73.03	$176.69	$267.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $89.78 / $145.25	Facility		$65.67	$89.78	$145.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $92.75 / $145.25	Facility		$65.67	$92.75	$145.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $146.88 / $484.81	Professional		$75.33	$146.88	$484.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $92.86 / $138.97	Professional		$42.37	$92.86	$138.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $91.70 / $145.25	Facility		$65.59	$91.70	$145.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $170.11 / $278.33	Professional		$124.20	$170.11	$278.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $318.56 / $318.56	Facility		$81.28	$318.56	$318.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $376.65 / $484.81	Professional		$90.82	$376.65	$484.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $90.59 / $90.59	Professional		$90.59	$90.59	$90.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $252.83 / $252.83	Professional		$99.06	$252.83	$252.83
United Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $120.07 / $263.66	Professional		$73.84	$120.07	$263.66